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nutrition & your child newsletter, Winter, 1998
  
 
   

   

Winter, 1998

Inside this issue:

"" We've come a long way, baby: The CNRC turns 20
"" Unexpected results from AD/HD study may yield important insights
"" Osteoporosis prevention begins in adolescence
"" Understanding science helps separate hype from hope
"" Link between formula composition and infant body fat studied
"" What is a double-blind, placebo controlled study?

We've come a long way, baby: The CNRC turns 20

Back in the days when the Beach Boys were 'in,' breastfeeding babies was nearly 'out.' But, baby, the times they were a-changin.'

"One of the lasting legacies of the late '60s was a resurgence in breastfeeding," said Dr. Judy Hopkinson , a lactation physiologist with the CNRC and an assistant professor of pediatrics at Baylor College of Medicine. In 1970, less than 14 percent of infants in the U.S. were breast-fed at 2 months of age. By the time the CNRC received it's first USDA grant in 1978, that number had jumped to nearly 35 percent - the highest level in over 20 years.

According to Hopkinson, evidence had existed for many years that breast-fed babies had fewer bouts of diarrhea and fewer and less severe ear, respiratory, and urinary tract infections. But it was not until the mid-1980s, when researchers identified specific components in human milk that appeared to protect against infection, that more physicians began to accept breastfeeding as the better way to feed infants.

Human milk composition, infant and maternal energy needs, and body composition studies were among the earliest CNRC research projects. "Results from these early studies showed that after the first few months of life breast-fed infants consumed fewer calories and grew a bit more slowly than formula-fed infants. So the question was raised: Does breast milk provide adequate nutrition for the first 6 months of life? Our research proved that it did," Hopkinson said. 

The special needs of premature infants moved breast milk research into the neonatal intensive care unit. Dr. Richard Schanler, a CNRC neonatologist and professor of pediatrics at Baylor, helped develop human milk fortifiers in the late 1980s. These fortifiers provided physicians with a way to give premature infants the protective benefits of breast milk, while also meeting their special nutritional needs. "There is good evidence to support that providing human milk to premature infants has contributed to a reduction in the incidence of serious infection," Schanler said. 

A breastfeeding support system for the mothers of premature infants at Texas Children's Hospital followed the successful development of human milk fortifiers.

"Before long, it became clear that mothers of full-term infants needed lactation support as well," Hopkinson said. As a result, lactation support is now available to all new mothers in the hospital as well as out-patient clinics. 

Today, CNRC breastfeeding research focuses on the benefits to the health of the mother as well as the long-term health of her child, and social marketing research designed to increase breastfeeding rates in underserved populations. 

"The more we learn about the benefits and physiology of breastfeeding, the more we can help medical professionals and policy makers support breastfeeding mothers and infants," Hopkinson said.